Individual provider · Type 1 NPI
Keith Hawkins, CFSA, CSA
Surgical Physician Assistant · Douglasville, GA
NPI number
1982223244
Active
Practice location
8498 Glenview St
Douglasville, GA 30134-5639
Mailing address
PO Box 871063
Stone Mountain, GA 30087-0027
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
| Surgical Assistant | 246ZC0007X | 18-356 (GA) |
Surgical Physician Assistant: Definition to come...
Another provider at this address
About NPI 1982223244
Keith Hawkins, CFSA, CSA's National Provider Identifier is 1982223244, issued on Apr 15, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Douglasville, GA. The record was last updated on Oct 14, 2020.